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Individual

MR. KENNETH HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS,BS

Contact information

Practice address
402 E MAIN STREET, IPV FAIR UNIT-WATERBURY OP SERVICES, WATERBURY, CT 06702-1701
(203) 755-1143
(203) 753-3274
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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